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Korean Journal of Spine

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https://www.readbyqxmd.com/read/27800002/single-stage-operation-for-giant-schwannoma-at-the-craniocervical-junction-with-minimal-laminectomy-a-case-report-and-literature-review
#1
Sun Yoon, Hunho Park, Kyu-Sung Lee, Seoung Woo Park, Chang-Ki Hong
Here we report a single-stage operation we performed on a patient with a large schwannoma that extended from the lower clivus to the cervico-thoracic junction caudally. A number of authors have previously performed multilevel laminectomy to remove giant schwannomas that extend for considerable length. This technique has caused cervical instability such as kyphosis or gooseneck deformity on several occasions. We removed the tumor with a left lateral suboccipital craniectomy with laminectomy only at C1 and without any subsequent surgery-related neurologic deficits...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27800001/clinical-experiences-of-uncommon-motor-neuron-disease-hirayama-disease
#2
Kyoung Hee Lee, Dae Seob Choi, Young Suk Lee, Dong Ho Kang
Hirayama disease, juvenile muscular atrophy of the distal upper limb, is a rare disease predominantly affecting the anterior horn cells of the cervical spinal cord in young men. This cervical myelopathy is associated with neck flexion. It should be suspected in young male patients with a chronic history of weakness and atrophy involving the upper extremities followed by clinical stability in few years. Herein, we report 2 cases of Hirayama disease on emphasis of diagnostic approach and describe the pathognomonic findings at flexion magnetic resonance imaging...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27800000/spontaneous-spinal-epidural-hematoma-coexisting-guillan-barr%C3%A3-syndrome-in-a-child-a-case-report
#3
Chi Hyung Lee, Geun Sung Song, Young Ha Kim, Dong Wuk Son, Sang Weon Lee
Spontaneous spinal epidural hematoma (SSEH) has been reported as a rare cause of spinal cord compression, especially in children. Clinical features are usually nonspecific, although cervicothoracic location of hematoma could be presented with progressive paraplegia. Guillian-Barré syndrome (GBS) is clinically defined as an acute peripheral neuropathy causing progressive limb weakness. Because SSEH and GBS have very similar signs and symptoms, SSEH could be misdiagnosed as GBS. Nevertheless, they can be presented together...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799999/pneumocephalus-and-pneumorrhachis-due-to-a-subarachnoid-pleural-fistula-that-developed-after-thoracic-spine-surgery
#4
Gun-Sang Lee, Myung-Ki Lee, Woo-Jae Kim, Ho-Sang Kim, Jeong-Ho Kim, Yun-Suk Kim
Development of a communication between the spinal subarachnoid space and the pleural space after thoracic spine surgery is uncommon. Subarachnoid pleural fistula (SAPF), a distressing condition, involves cerebrospinal fluid leakage. Here we report an unusual case of SAPF, occurring after thoracic spine surgery, that was further complicated by pneumocephalus and pneumorrhachis postthoracentesis, which was performed for unilateral pleural effusion.
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799998/a-20-year-old-retained-surgical-gauze-mimicking-a-spinal-tumor-a-case-report
#5
Sungjoon Lee, Bomi Kim, Jung Soo Kim, Byeong Sam Choi
A 79-year-old man visited our clinic complaining of lower back and left leg radiating pain that began 1 month prior to his presentation. He underwent surgery for lumbar disc herniation 20 years ago at another hospital. Magnetic resonance imaging revealed left-sided foraminal stenosis at L4-5. In addition, a paraspinal mass occupying the L4 spinous process and left lamina was observed. We subsequently performed an L4-5 decompression and fusion. During the operation, retained surgical gauze with granulation tissue was found...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799997/postlaminectomy-bilateral-lumbar-intraspinal-synovial-cysts
#6
Sung Ik Cho, Jung Hwan Lee, Chung Kee Chough
Lumbar intraspinal synovial cysts are included in the difference diagnosis of lumbar radiculopathy. Developing imaging modalities has result in increased reporting about these lesions. However, the case of bilateral new lumbar intraspinal synovial cysts after laminectomy has been rarely reported. We report of a rare case with bilateral lumbar intraspinal synovial cysts after laminectomy, requiring surgical excision.
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799996/the-surgical-overcorrection-of-lenke-type-1-deformities-with-selective-fusion-segments-what-happens-to-the-coronal-balance
#7
Yunus Atici, Sinan Erdogan, Yunus Emre Akman, Murat Mert, Engin Carkci, Tolga Tuzuner
PURPOSE: The aim of our study is to determine the alterations on coronal balance after overcorrection of Lenke type 1 curve, retrospectively. METHODS: Datas of 34 patients (29 female, 5 male patients; mean age, 16.3±3.3 years; range, 13-24 years) surgically treated for scoliosis between 2004 and 2010 were reviewed, retrospectively. The adolescent idiopathic scoliosis patients with Lenke type 1 curve treated with only posterior pedicle screw and postoperative thoracic curves less than 10° by Cobb method on frontal plane were enrolled in this study...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799995/transforaminal-percutaneous-endoscopic-discectomy-in-parkinson-disease-preliminary-results-and-short-review-of-the-literature
#8
Stylianos Kapetanakis, Eirini Giovannopoulou, Triphonas Thomaidis, George Charitoudis, Pavlos Pavlidis, Konstantinos Kazakos
OBJECTIVE: To study the effectiveness of Transforaminal Percutaneous Endoscopic Discectomy (TPED) for lumbar disc herniation in patients with Parkinson disease (PD). METHODS: Fifteen patients diagnosed with PD and lumbar disc hernia were recruited to the study. All patients underwent TPED. Mean age was 61.27±6 years, with 8 male (53.3%) and 7 female patients (46.7%). Level of operation was L3-4 (33.3%), L4-5 (33.3%) and L5-S1 (33.3%). Visual analogue scale (VAS) for leg pain and Oswestry Disabillity Index (ODI) for back pain, as well as the Medical Outcomes Study Questionnaire Short-Form 36 Health Survey (SF-36) for health-related quality of life (HRQoL) were assessed right before surgery and at 6 weeks, 3, 6, and 12 months after surgery...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799994/increased-prevalence-of-ossification-of-posterior-longitudinal-ligament-and-increased-bone-mineral-density-in-patients-with-ossification-of-nuchal-ligament
#9
Ki-Wan Kim, Young-Min Oh, Jong-Pil Eun
OBJECTIVE: There are also few studies demonstrating the relationship between ossification of nuchal ligament (ONL) and ossification of posterior longitudinal ligament (OPLL). We compared the prevalence, location, and type of OPLL between patients with ONL and matched patients without ONL.We also compared the bone mineral densities (BMDs) between the 2 groups. METHODS: total of 124 cervical ONL patients were enrolled in this study. The control group of 124 patients was matched with 124 patients with ONL by age and sex on a 1:1 basis to minimize confounding factors...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799993/radiologic-changes-of-operated-and-adjacent-segments-after-anterior-cervical-microforaminotomy
#10
Jang Ho Ahn, Moon Sun Park, Seong Min Kim, Seung Young Chung, Do Sung Lee, Ki Seok Park
OBJECTIVE: Anterior cervical microforaminotomy (ACMF) is a motion-preserving surgical procedure. The purpose of this study is to assess radiologic changes of operated and adjacent segments after ACMF. METHODS: We retrospectively reviewed 52 patients who underwent ACMF between 1998 and 2008. From X-ray film-based changes, disc height and sagittal range of motion (ROM) of operated and adjacent segments were compared at preoperative and last follow-up periods. Radiological degeneration of both segments was analyzed as well...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799992/the-use-of-gentamicin-impregnated-collagen-sponge-for-reducing-surgical-site-infection-after-spine-surgery
#11
Jin-Sol Han, Se-Hoon Kim, Sung-Won Jin, Seung-Hwan Lee, Bum-Joon Kim, Sang-Dae Kim, Dong-Jun Lim
OBJECTIVE: Surgical site infection (SSI) is the one of the most frequent complications in hospitalized patients, and it extends hospital stays and causes extra morbidities. To reduce SSI after spine surgery, we applied the gentamicin-impregnated collagen sponge (Collatamp G) during the operation and analyzed the results retrospectively. METHODS: Between October 2012 and December 2015, we collected data who applied the Collatamp G in spine surgery at a single institution...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799991/the-factors-that-affect-improvement-of-neurogenic-bladder-by-severe-lumbar-disc-herniation-in-operation
#12
Joon Bok Jeon, Seung Hwan Yoon, Do Keun Kim, Ji-Yong Kim
OBJECTIVE: This study analyzed retrospectively the bladder function of patients after early surgery for cauda equina syndrome (CES) performed within 24 or 48 hours, or after 48 hours of the onset of autonomic symptoms. METHODS: We retrospectively reviewed the clinical data of 31 patients after decompression surgery for lumbar disc herniation (LDH) who had been diagnosed with CES between January 2001 and December 2014 at Inha University Hospital. The following factors were assessed to evaluate the influence of time to surgery: bladder function, rectal incontinence, sexual dysfunction, LDH level, and degree of spinal canal compression...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799990/the-safety-and-decision-making-of-instrumented-surgery-in-infectious-spondylitis
#13
Kyeong Hee Baek, Young-Seok Lee, Dong Ho Kang, Chul Hee Lee, Soo Hyun Hwang, In Sung Park
OBJECTIVE: Infectious spondylitis is mostly managed by appropriate antibiotic treatment options, and some patients may require surgical interventions. However, surgical interventions that use spinal instrumentation to correct the mechanical instability may be associated with the risk of an increase in the recurrence rate. In this study, we investigated whether spinal instrumentation effects on recurrence of infectious spondylitis. METHODS: The study was conducted as a retrospective study by dividing the subjects into the noninstrumentation surgery and instrumentation surgery groups among a total of 95 patients who had received surgical interventions in infectious spondylitis from 2009 to 2014...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799989/surgical-outcomes-of-anterior-cervical-fusion-using-deminaralized-bone-matrix-as-stand-alone-graft-material-single-arm-pilot-study
#14
Ho-Jung Chung, Jung-Woo Hur, Kyeong-Sik Ryu, Jin-Sung Kim, Ji-Hoon Seong
OBJECTIVE: To investigate the safety and efficacy of demineralized bone matrix (DBM) as a bone graft substitute for anterior cervical discectomy and fusion (ACDF) surgery. METHODS: Twenty consecutive patients treated with ACDF using stand-alone polyestheretherketone (PEEK) cages (Zero-P) with DBM(CGDBM100) were prospectively evaluated with a minimum of 6 months of follow-up. Radiologic efficacy was evaluated with a 6-point scoring method for osseous fusion using plain radiograph and computed tomogrpahy scans...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799988/three-years-outcome-of-microdiscectomy-via-paramedian-approach-for-lumbar-foraminal-or-extraforaminal-disc-herniations-in-elderly-patients-over-65-years-old
#15
Chang Gi Yeo, Ikchan Jeon, Sang Woo Kim, Sam Kyu Ko, Byung Kil Woo, Kwang Chul Song
OBJECTIVE: Lumbar foraminal or extraforaminal disc herniations (FEFDH) have unusual clinical features and higher incidence in elderly patients compared to usual intraspinal canal disc herniations. We evaluated the efficacy of microdiscectomy via paramedian approach for lumbar FEFDH in elderly patients over the age of 65. METHODS: Retrospective study was performed in 68 patients over the age of 65 (23 male and 45 female patients; 71.46±3.87 years) who underwent microdiscectomy via paramedian approach for unilateral lumbar FEFDH causing sciatica...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799987/balloon-kyphoplasty-an-effective-treatment-for-kummell-disease
#16
Pius Kim, Seok Won Kim
OBJECTIVE: The purpose of this study was to evaluate the efficacy of balloon kyphoplasty for treating Kummel disease accompanying severe osteoporosis. METHODS: Twelve patients with single-level Kummell disease accompanied by severe osteoporosis were enrolled in this investigation. After postural reduction for 1 or 2 days, balloon kyphoplasty was performed on the collapsed vertebrae. Clinical results, radiological parameters, and related complications were assessed at 7 days, 1 month and 6 months after the procedure...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799986/infectious-spondylodiscitis-by-uncommon-pathogens-a-pitfall-of-empirical-antibiotics
#17
Seung Han Yu, Dong Hwan Kim, Hwan Soo Kim, Kyoung Hyup Nam, Byung Kwan Choi, In Ho Han
OBJECTIVE: The goal of this study is to evaluate the prevalence of spondylodiscitis (SD) caused by uncommon pathogens and review the efficacy of the treatment strategy including the coverage by usual empirical broad-spectrum antibiotic therapy. METHODS: Ninety-nine consecutive patients diagnosed and treated for infectious SD between January 2007 to May 2015 were reviewed retrospectively. The prevalence of uncommon SD, predisposing factors, antibiotics sensitivity, and clinical outcome were analyzed in comparison with that of common SD...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799985/comparison-of-radiologic-outcomes-of-different-methods-in-single-level-anterior-cervical-discectomy-and-fusion
#18
O Ik Kwon, Dong Wuk Son, Sang Weon Lee, Geun Sung Song
OBJECTIVE: Anterior cervical discectomy and fusion (ACDF) is a choice of surgical procedure for cervical degenerative diseases associated with radiculopathy or myelopathy. However, the patients undergoing ACDF still have problems. The purpose of the present study is to evaluate the radiologic results of 3 different methods in single-level ACDF. METHODS: We conducted a retrospective collection of radiological data from January 2011 to December 2014. A total of 67 patients were included in this study...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27437022/repair-of-inaccessible-ventral-dural-defect-in-thoracic-spine-double-layered-duraplasty
#19
Dong-Hyun Lee, Kyoung-Tae Kim, Jeong-Ill Park, Ki-Su Park, Dae-Chul Cho, Joo-Kyung Sung
We propose a double layered (intradural and epidural patch) duraplasty that utilizes Lyoplant and Duraseal. We examined a 47-year-old woman after decompression for thoracic ossification of posterior longitudinal ligament was performed in another hospital. On postoperative day 7, she complained of weakness in both legs. Postoperative magnetic resonance imaging (MRI) showed cerebrospinal fluid (CSF) collection with cord compression. In the operative field, we found 2 large dural defects on the ventral dura mater...
June 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27437021/superficial-siderosis-of-the-central-nervous-system-originating-from-the-thoracic-spine-a-case-report
#20
Sung Mo Ryu, Eun-Sang Kim, Seung-Kook Kim, Sun-Ho Lee, Whan Eoh
Superficial siderosis of the central nervous system(SSCNS) is a rare disease characterized by hemosiderin deposition on the surface of the central nervous system. We report a case of SSCNS originating from the thoracic spine, presenting with neurological deficits including, sensorineuronal hearing loss, ataxia, and corticospinal and dorsal column tract signs. The patient underwent dural repair with an artificial dural patch. Clinical findings were elicited by neurological examination, imaging studies, and intraoperative findings, and these were addressed through literature review...
June 2016: Korean Journal of Spine
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